A Comparative Analysis of Epidural Block With Ropivacaine And Bupivacaine For Elective Gynaecological Surgeries
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 8
Abstract
Aims: The aims and objective of this study were to compare the onset of sensory & motor block & time for maximum spread of anaesthesia ; to compare the duration of analgesia & duration of motor blockade; to compare associated haemodynamic changes and to evaluate the incidence of side effects. Materials and Methods: Our study included 80 female patients, aged between 20 to 60 years, height 150-180 cms, weight 45-70 Kgs of ASA Grade I and II, scheduled for elective lower abdominal surgeries. Patients were divided into two groups; Group A (n=40): 15 ml of 0.75% Ropivacaine (112.5 mg) and Group B (n=40):15 ml of 0.5% Bupivacaine (75 mg) The onset and duration of analgesia, time to maximum spread, Onset and duration of motor block, changes in blood pressure, pulse rate, respiratory and side effects, if any were noted for both studies group Results- the onset of analgesia in Group A was 13.65 (± 1.27) min while in group B cases it was 13.93 (±1.45), .in Group A, observed time for maximum spread was 17.35 ± (1.80) min, while in group B cases it was 17.78 ± (1.18) min. the duration of analgesiaGroup A was 186.0± (16.962) min while in group B cases it was 188.80 ± (3.393). onset of motor block in Group A was 17.5± (1.530) min while in group B cases it was 17.95 ± (1.37)min . the duration of motor block inGroup A was 189.70 (± 6.892) min and in group B 187.60 ± (6.164) min. Total VAS score of group A subjects at 4.27 (± 0.45) hour while in group B cases it was 4.15 (± 0.42)
Authors and Affiliations
Dr Shabnam Khan
Keywords
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